Individual
JESSICA LEE DEBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 TECHNOLOGY CENTER DR, STOUGHTON, MA 02072-4710
(781) 566-5066
Mailing address
505 DELAWARE AVE, DELMAR, NY 12054-2802
(518) 330-8204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054742
NY
Other
Enumeration date
08/27/2010
Last updated
08/29/2023
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